| NPI | 1518475524 |
|---|---|
| Doing Business As | EDWARDSVILLE NURSING & REHABILIATION CENTER |
| Entity Type | Organization |
| Authorized Contact | MAKHLOUF SUISSA Manager/Member Of LLC 917-744-8688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2018-01-12 |
| Last Update Date | 2018-01-12 |